Individual
MICHEL MARIEN KENGNE TANEKOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4121 WARNER AVE APT D4, HYATTSVILLE, MD 20784-1953
(202) 582-9077
Mailing address
4121 WARNER AVE APT D4, HYATTSVILLE, MD 20784-1953
(202) 582-9077
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
03/02/2026
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